Brandon Lee Grieve, DMD
Dentist, General Practice in Barstow, CA. Individual provider (NPI-1).
NPI number1992889448
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1992889448
- Entity type
- Individual (NPI-1)
- Name
- Brandon Lee Grieve
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | dds100921 | CA | Yes |
Practice location
1890 W Main St Ste 140Barstow, CA 92311-3726
Phone 760-260-9033 · Fax 760-818-8021
Mailing address
1890 W Main St Ste 140Barstow, CA 92311-3726
Phone 760-260-9033 · Fax 760-818-8021
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